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� <br /> � <br /> -, � <br /> �, �Total Fee: � ''� � � ' � DateReceived: � - ,,1� '�j(� <br /> Date Approved: <br /> Entered By: r��%" Permit#: ��/ � "'-�� <br /> CITY OF ORONO - BUILDING PERII�IIT APPLICATION <br /> ALL I'ivFORMATION vIUST BE SLB�IITTED I�i 1 FULL BEFORE PLr��1 REVIEW WII.L <br /> BE ST�RTED <br /> ------------------------------------------------------------------------------------------------------------------- <br /> THE �iPPLICA:�1T IS: (circle one) OWNER OR CONTR.ACTOR <br /> JOB SITE ADDRESS: �� �� � .� �� h_ �t2 L��� Zg': <br /> NANIE OF OWNER: -�—�C� l�_ � ��'��`��� PHOIVE: (home) � - ��>1 <br /> `� (work) <br /> VIAILIi�'G ADDRESS: 7�b � a� l 1'�, �2.�}r CITY: {'�,� �-,.��; ZIP: <br /> CONTRACTOR � �-c_ ►� � . �_ PHONE: �2�i ��� � <br /> vIOBILE PHO�tE/PAGER: - ���,' ��,`�T_ <br /> MAILING ADDRESS:�� �' � e���,�'�. ,�� � � CITY:�'n��i,�.�LL � ZIP: �s/ i' � <br /> STATE LICENSE: # �_o� �S �7T <br /> ARCHI'I'ECT/ENGI�YEER: PHO�IE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> �,T�V�; REGISTRATION # <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteranon <br /> PROPOSED WORK(describe indetail): ��I� j �L ('(� r, �C_ �� L�L� f <br /> � � � 2 `� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> C� �-�_ <br /> EST��TED CONSTRUCTION VALUATION(escludingland): $ � � -_ • <br /> I hereby apply for a buildin� permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to stan <br /> without a permit; and that the wor�k will be ' acco nce with the approved plan. ' <br /> � <br /> � � � <br /> APPLICAI�'T'S SIGNATURE: " DATE: r- / � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />